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    • Legislation USA
    • Maryland Statutes
    • Insurance
    • Title 15 - Health Insurance
    • Subtitle 10 - Claims and Utilization Review
    • Section 15-1002 - Claim Forms to Conform to Regulations

    Maryland Statutes
    Subtitle 10 - Claims and Utilization Review
    Section 15-1002 - Claim Forms to Conform to Regulations

    To provide a standard system of payment for medical services, each claim form for use under an individual or group health insurance policy that is issued or delivered in the State shall conform to a form or regulations that the Commissioner adopts.

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    Structure Maryland Statutes

    Maryland Statutes

    Insurance

    Title 15 - Health Insurance

    Subtitle 10 - Claims and Utilization Review

    Section 15-1001 - Requirement for Utilization Review

    Section 15-1002 - Claim Forms to Conform to Regulations

    Section 15-1003 - Adoption of Uniform Claims Forms Required

    Section 15-1004 - Acceptance of Uniform Claims Forms Required

    Section 15-1005 - Prompt Payment of Claims

    Section 15-1006 - Notice of Reason for Denial of Claim

    Section 15-1007 - Summary Explanation of Benefits

    Section 15-1008 - Retroactive Denial of Reimbursement

    Section 15-1009 - "Carrier" Defined; Reimbursement for Preauthorized Care; Payment of Claims

    Section 15-1010 - "Disability Benefit" and "Adverse Benefit Determination" Defined; Regulations

    Section 15-1011 - Expense Reimbursement Claims Forms -- Methods for Submission

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